Individual
AMRIT KAUR BOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538
(650) 853-2984
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009167
CA
Other
Enumeration date
05/30/2018
Last updated
06/03/2020
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